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Per CDC's 2019 Behavioral Risk Factor Surveillance System (explained in the article below), West Virginia had the highest rate of smoking in the country, at 23.8 %, followed by Kentucky, Louisiana, Ohio, Mississippi, Alabama, Arkansas, Tennessee, Missouri, Indiana, Oklahoma, and Michigan.

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However, the rules would not restrict flavoured products, online sales or advertising, which public health advocates say attract children

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[47] The result of such litigation has been increased bans on smoking in the workplace and certain public places